Individual ProviderSamuel Rodriguez SantiagoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressBarrio Monacillos, San Juan, PR 00935-0001(787) 777-3535(787) 385-7444PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Rodriguez Santiago does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134629264Provider TypeIndividualFull NameRodriguez Santiago, SamuelGenderMaleSole ProprietorYesEnumeration Date2/15/2018Last Updated2/15/2018Contact InformationPractice LocationPractice AddressBarrio Monacillos, San Juan, PR 00935-0001Phone(787) 777-3535FaxUnlisted FaxMailing LocationMailing AddressSabanera Del Rio, 282 Camino Del Mango, Gurabo, PR 00778Phone(787) 385-7444Fax(787) 385-7444Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense6150196Puerto Rico